NCG030246_2021 DMR_20210816 (3)

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report (DMR) Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG030246
Person Collecting Samples: Dalton Kaylor and Gregg Cook
Facility Name: Hickory Manufacturing and Technology Center
Laboratory Name: Water Tech Labs
Facility County: Catawba
Laboratory Cert. No.: 50
Discharge during this period: E]Yes ®No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?E]Yes ® No
If so, which Tier (I, II, or III)?
A copy of this DMR has been uploaded electronically via https:Hedocs.deg.nc.gov/Forms/SW-DMR ® Yes Lj No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
Parameter
Parameter
Outfall3
Outfall5
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
C
C
N/A
Date Sample Collected MM/DD/YYYY
07/07/2021
07/07/2021
46529
24-Hour Rainfall in inches
.4
.4
C0530
TSS in mg/L (100 or 50*)
21
40
pH in standard units (6.0 — 9.0 FW,
00400
6.8-8.5 SW)
7.45
6.75
Copper, total recoverable in mg/L
01119
(0.010 FW, 0.0058 SW)
.015
.012
Lead, total recoverable in mg/ L
01051
(0.075 FW, 0.22 SW)
<.005
<.005
Zinc, total recoverable in mg/ L (0.126
01094
FW, 0.095 SW)
71
.092
00340
Chemical Oxygen Demand (COD) in
34
26
mg/L (120)
OOSS2
Non -Polar Oil & Grease in mg/L (15)
<5.6
<5.6
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (Saltwater)
Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false information, ' luding the/sibility of fines and imprisonment for knowing violations." +
Signature of Permittee or Delegated Authorized Individual Date
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Email Address Phone Number